Dog Adoption Application

Completely fill out and submit the application. If you do not hear back within 10 days, please assume that your application was not selected. Applications that are selected are vet-checked, and personal reference checks will be done as well. If the adoption is approved, an adoption contract will be signed, an adoption fee will be paid, and you take your new pet home. Please give careful consideration to adopting a dog. Be sure that your lifestyle allows the time, patience and expense this pet will need over the years. Be ready for a 10-15 year commitment. Animals are not toys or short-term commitments, and they are NOT disposable.

Name
Address
Current Residence Type
Housing Arrangements
What kind of fence does your home have?
Please list the names and ages of all the people living in your home, starting with yourself:
Re-order Resident Name Resident Age Relationship to You Weight Operations
more items
Are you interested in a specific dog?
Will a co-applicant be present?
Co-applicant Information
Numbers please.
Co-applicant Address
Do you currently own any pets?
Have you owned any pets in the past?
Have any of your past pets been killed?
Re-order Veterinarian Name Veterinarian Phone Weight Operations
more items
Will you be using the same vet for your new dog?
Have all household members met and agreed on the dog?
If there are periods of time when nobody is home, how many hours will the dog be left alone, and what provisions will be made?
Will this dog be used as a guard dog?

Have you considered the extra expenses that will come with having a dog, including food, supplies and equipment, toys, training, boarding, heartworm & flea/tick prevention, grooming, and that the cost of maintaining a healthy dog can average $500 - $1000 or more a year?

Extra Expenses
Would you like more information on pet costs?
Have you ever been cited for a Leash Law or Dog License violation?
Are you aware of your town/city's ordinances regarding dog licensing?
Are you aware of any Leash Law in your city/town?
Are you willing to take the time to housebreak a dog, and do you understand that changing a dog’s environment may cause the dog to have accidents?
Describe the kinds of personal situations where you might have to return your adopted dog:
Do you have or use:
What attributes are important for the dog to have?
Do you have a health preference?

IMPORTANT: Upon submitting this application, please call your vet(s) and give them permission to speak to us.
Not doing so might delay the processing of your application since most vets won't release records without permission from the client.

By submitting this application I attest that the information provided is true and accurate and understand false information will result in denial of adoption. Also, if an omission or untruth is discovered after an adoption takes place, Whiskers Pet Rescue reserves the right to annul the adoption and reclaim the animal. I give permission to fully investigate the information provided as well as contact veterinarians and related officials. The adoption decision is dependent on many factors, including but not limited to the compatibility of the family with the individual animal. I understand it is Whiskers Pet Rescue's prerogative to decide which home is most appropriate and that their decision is final, and therefore I will not argue with the decision. Unless otherwise indicated I am free to apply and undergo the application process in the future. I, the undersigned, hereby specifically and forever release, discharge and hold harmless Whiskers Pet Rescue, its agents, and any other person, firm or corporation charged or chargeable with liability, their heirs, administrators, executors, successors and assigns, from any and all claims, damages, costs, expenses, loss of service, actions and causes of action in relation to adoption of the cat.

I hereby authorize Whiskers Pet Rescue to receive information from veterinarians and others listed on this application.

By checking this box you indicate that you have read and agree to the above statements.